GU HA Musculoskeletal
Card Set Information
GU HA Musculoskeletal
GU Health Assessment Seidel
The femoral stretch test or hip extension test is used to detect ________.
inflammation at L1, L2, L3, or L4.
Temporomandibular joint consists of articulation b/w the ______ and ______ bone in the cranium.
The ______ vertebrae are the most mobile.
Three _____ reduce friction in the hip.
What type of joint is the hip?
_________ ligaments give medial and lateral stability to the knee.
The _______ ligament protects the knee from hyperextension.
The knee is a _____ joint.
_________ are stronger than bone until adolescence; therefore, injuries to long bones and joints are more likelh to result in _____ than sprains.
Why do adolescents have a greater potential for injury?
Rapid growth = decreased strength in the epiphysis and overall decreased strength & flexibility.
When is bone growth complete?
when last epiphysis closes
When is peak bone mass achieved?
Increased hormone levels in pregnancy contribute to the ______ of ligaments and _____ of the cartilage in the pelvis at 12-20 wks.
For menopausal women, decreased estrogen increases bone ______ and decreases ______.
Which bones are particularly vulnerable to the loss of bone density?
_______ bones may become predisposed to fractures in older adults.
What happens to collagen, CT, and tendons in older adults?
increased collagen collects and then
fibrosis of CT
tendons become less elastic
What is the result of changes in collagen CT, and tendons in older adults?
reduced muscle mass, tone, and strength
Associated events with joint symptoms.
time of day
activity, specific movements
Temporal factors affecting joint symptoms.
change in frequency or character of episodes
better or worse as day progresses
nature of onset (slow or rapid)
Precipitating factors to muscular symptoms
injury, strenuous activity
sudden movement, stress
Associated events of skeletal symptoms.
injury, recent freactures
strenuous activity, sudden movement, stress
Two important things to ask about injury?
sensation at time of injury (click, pop, tearing, numbness, etc)
mechanism of injury (direct truama, overuse, sudden change of direction, etc)
________ occurs after injury to a muscle's motor neuron.
_______ wasting occurs after injury as a result of pain, disease of the muscle, or damage to the motor neuron.
Palpate _____ last.
_______ can be felt when two irregular bony surfaces rub together as a joint moves.
Crepitus can be felt when two rough edges of a ____ bone rub together or with movement of a ______ when tenosynovitis is present.
Passive ROM often exceeds active ROM by ____ degrees.
When are active and passive ROM equal.
between contralateral joints
Discrepancies b/w active and passive ROM may indicate what?
true muscle weakness OR
What is used to precisely measure the angle when a joint appears to have an increase or limitation in its ROM?
Evaluating the strength of each muscle group is considered part of which exam?
Disability is present when muscle strength is graded at what level?
3 or less
Where is the thenar eminence?
on the thumb side of the hand
(a central depression)
Deviation to the _____ side and _____ or boutonnière deformities of the fingers usually indicates RA.
The metacarphphalangeal joints are palpated with _______.
Palpate the wrist and radiocarpal groove with your ______ on the dorsal surface and _______ on the palmar aspect of the wrist.
A firm mass over the dorsum of the wrist may be a ________.
Bony overgrowths in the distal interphalangeal joints, felt as hard, nontender nodules (2-3mm) are associated with _________.
(sometimes encompass entire joint)
Where are Heberden nodes located?
DISTAL interphalangeal joints
Where are Bouchard nodes located?
PROXIMAL interphalangeal joints
Cystic, round, nontender swellings along tendon sheaths or joint capsules that are more prominent with flexion may indicate _______.
Subcutaneous nodules along pressure points of the ulnar surface may indicate __________.
RA or Gouty Tophi
Cubitus valgus is a ____ angle exeeding 15 degrees; cubitus varus is a ______ carrying angle.
What should you expect with a boggy, soft, or fluctuant swelling and increased pain with pronation and supination of the elbow?
The curve of the thoracic spine should be ______; the curve of the lumbar spine should be ____.
Major landmarks of the hips.
greater trochanter of femur
What is FABER?
Test used to assess hips
Flex, ABduct, Externally Rotate
The angle b/w the femur and tibia is expected to be ?
less than 15 degrees
What is genu valium?
What is genu varum?
Excessive hyperextension of the knee with wt bearing (genu recurvatum) may indicate what?
weakness of quads
What may fullness in the popliteal space indicate?
What is pos varus?
What is pes valgus?
What is pes planus?
common variation of the foot
foot remains flat even when not bearing weight
What is pes cavus?
may be associated w/ claw toes
A persistently thickened achilles tendon may indicate _______ that can develop with spondyloarthritis or from ______.
xanthelasma of hyperlipidemia
What should you do if the pt reports pain, numbness, and/or tingling in their hands or wrist? Why?
Ask to mark specific locations on the Katz hand diagram
Certain patterns are assoc with carpal tunnel
Three tests assoc with carpal tunnel syndrome.
Two tests to assess for rotator cuff inflammation.
What is the straight legh raising test used to test?
Nerve root irritation or
lumbar disk herniation
(L4, L5, S1)
The ________ test is used to detect inflammation
femoral stretch (or hip extension)
The ________ test is used to detect flexion contractures of the hip athat may be masked by excessive lumbar lordosis.
Lifting the extended leg off the examining table indicates a ________ contracture in the extended leg.
The ________ test is used to detect weak hip abductor muscles.
_________ is used to determine the presence of excess fluid or an effusion in the knee.
The bulge sign is used to determine what?
presence of excess fluid in the knee
The ______ test is used to detect a torn medial or lateral meniscus.
The _______ test is used to identify instability of the anterior and posterior cruciate ligaments .
The ______ test is used to evaluate the anterior cruciate ligament integrity.
What does varus mean?
What does valgus mean?
Laxity as varus force is used against the ankle indicates injury to the ________ ligament.
Laxity when valgus force is placed against the ankle indicates injury to the _______ ligament.
What does the Barlow-Ortolani maneuver detect?
hip dislocation or subluxation in newborns
The feet of a toddler will often pronate slightly inward until about _______ of age.
The W or reverse tailor position places stress on the joints of the hips, knees, and ankles and is commonly seen in children with _________ associated with femoral anteversion.
Genu varum is a commin finding up to what age?
Genu valgum (knock-knee) is a common finding at what ages?
b/w 2-4 yo
What contributes to the "waddling" of pregnancy?
increased mobility & instability of sacroiliac joints & symphysis pubis
Pregnant women can experience pain down into the inner thigh when standing from _______.
Why might the head of an older adult tilt backward?
to compensate for the increased thoracic curvature.
Hypertrophy of the ligamentum flavum and facet joints that results in narrowing of the spinal canal.
Herniated lumbar disc that irritates the corresponding nerve root
________ nodes are at the DISTAL interphalangeal joints.
________ nodes are at the PROXIMAL interphalangeal joints.
Duration of stiffness in RA compared to OA.
: at least an hour or longer
: few minutes
Four things evaluated on a muscled strength test.
Two tests for rotator cuff.
Neer (internally rotate & forward flex arm at the shoulder
: presses supraspinatus muscle against anteroinferior acromion)
Hawkins (Forward flexing shoulder to 90 degrees, flexing elbow to 90 degrees, and then internally rotating arm to its limit)